Sr. Claims Specialist - Litigation

Sr Claims Specialist

We are seeking a highly skilled and experienced Sr Claims Specialist .

Key functions include but are not limited to the following :

• Working with strong technical expertise and limited supervision, the Senior Claim Specialist-Litigation effectively manages a caseload of Major Case General Liability, Commercial Auto (including UM / UIM), EPL and other Complex Claims through coverage analysis, investigation, damage evaluation, litigation management, reserving, and resolution.
• Develop positive business relationships with defense counsel and work with them closely to develop cost-effective litigation strategies and develop action plans to manage cases to an early conclusion. Ability to direct defense counsel to execute developed litigation strategies.
• Prepare and present large loss reports.
• Completion of decision trees to assist with detailed reserving analysis.
• Establish timely and accurate claim and expense reserves.
• Negotiate and convey claim settlements within authority limits.
• Attend mediations, settlement conferences and trials.
• Draft timely Reservation of Rights, Coverage Disclaimer, Tender Response Letters / Draft Tender Letters to others, along with other complex correspondence.
• Understand how to interpret sub-contract agreements.
• Maintain an effective diary system and document claim file activities in accordance with established procedures.
• Manage file inventory to ensure timely resolution of cases.
• Handle files in compliance with state regulations.
• Provide excellent customer service to meet the needs of the insured, agent and all other internal and external customers.
• Perform administrative functions such as document preparation, expense accounts, time off reporting, etc. as required.
• Perform other duties as assigned.

Qualifications

4-year college degree or equivalent work experience.

Minimum of 10 years prior experience handling large Commercial Auto, General Liability and EPL claims of more than $500,000.00 in aggregate exposure.

Proven ability to identify and address coverage issues, complex investigations, timely / effective reserve management and ability to develop detailed action plans.

Excellent interpersonal, communication, and collaboration skills.

Excellent negotiation, time management, and organizational skills.

Strong knowledge of tort and contract law in our operating states.

Effective presentation skills.

Working knowledge of legal billing software, claim systems, spreadsheet and word processing software applications.

Self-directed with the ability to work independently.

Adjuster licenses in the states of NC, SC, and GA

The Company is an equal employment opportunity employer.

Additional Company Details

We do not accept any unsolicited resumes from external recruiting agencies or firms. The company offers a competitive compensation plan and robust benefits package for full time regular employees. The actual salary for this position will be determined by a number of factors, including the scope, complexity and location of the role; the skills, education, training, credentials and experience of the candidate; and other conditions of employment.

Sponsorship Details

Sponsorship not Offered for this Role